Iatrogenic adrenal suppression following caudal epidural and facet joint injection
- Resource Type
- Authors
- Hannah Louise Morley; Nitin Shetty; Priyanka Jani
- Source
- BMJ Case Rep
- Subject
- musculoskeletal diseases
Anesthesia, Epidural
medicine.medical_specialty
Hydrocortisone
Iatrogenic Disease
Anti-Inflammatory Agents
Zygapophyseal Joint
Facet joint
Injections, Intra-Articular
03 medical and health sciences
0302 clinical medicine
030202 anesthesiology
medicine
Humans
In patient
Radiculopathy
Local anaesthetic
Unexpected Outcome (Positive or Negative) Including Adverse Drug Reactions
business.industry
Facet joint injection
General Medicine
Middle Aged
Surgery
medicine.anatomical_structure
Treatment Outcome
Orthopedic surgery
Caudal epidural
Adrenal suppression
Female
business
Complication
Anesthesia, Caudal
030217 neurology & neurosurgery
Adrenal Insufficiency
- Language
- ISSN
- 1757-790X
Caudal epidural injections and facet joint injections using steroids and local anaesthetic are widely used methods of pain control in patients suffering from radicular leg pain. In the vast majority of cases this is low risk. We present an interesting case of a patient who suffered from symptomatic adrenal suppression following a caudal epidural injection, and thus wish to draw this rare but significant complication to the attention of orthopaedic practitioners.